Basic Information
| Provider Information | |||||||||
| NPI: | 1790884484 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEIBERG | ||||||||
| FirstName: | HOWARD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 WHEELING AVE | ||||||||
| Address2: | |||||||||
| City: | GLEN DALE | ||||||||
| State: | WV | ||||||||
| PostalCode: | 260381660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3048453211 | ||||||||
| FaxNumber: | 3048433202 | ||||||||
| Practice Location | |||||||||
| Address1: | 800 WHEELING AVE | ||||||||
| Address2: | |||||||||
| City: | GLEN DALE | ||||||||
| State: | WV | ||||||||
| PostalCode: | 260381660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3048453211 | ||||||||
| FaxNumber: | 3048433202 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085B0100X | 13937 | WV | X | Allopathic & Osteopathic Physicians | Radiology | Body Imaging | 2085N0904X | 13937 | WV | X | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology | 2085R0202X | 13937 | WV | X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 2085R0204X | 13937 | WV | X | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | 2085U0001X | 13937 | WV | X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Ultrasound |
No ID Information.